Organization
NATURAL DENTISTRY OF NORTH TEXAS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GOTTFRED P OLSEN DDS (PRESIDENT)
(214) 616-7161
Entity
Organization
Contact information
Practice address
1645 N TOWN EAST BLVD STE 532, MESQUITE, TX 75150-4147
(214) 616-7161
(972) 681-5986
Mailing address
1645 N TOWN EAST BLVD STE 532, MESQUITE, TX 75150-4147
(214) 616-7161
(972) 681-5986
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
12609
TX
Other
Enumeration date
12/29/2014
Last updated
12/29/2014
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